Mary O. Polk M.D.

NPI 1427158104 - Internal Medicine - 207RP1001X

NPI Details
NPI 1427158104
Gender Female
Enumeration Date 09/23/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
301 N 8TH ST
SPRINGFIELD IL, 62701-1041, US
Phone (217) 527-2864
Business Location
1025 S 7TH ST
SPRINGFIELD IL, 62703-2416, US
Phone (217) 528-7541
Taxonomy Code 207RP1001X
License State Illinois
License Number 036-087921
Remove 1427158104 NPI Number

According to our database, Dr. Mary O. Polk M.D. NPI is 1427158104, taxonomy code is 207RP1001X and license number is 036-087921, license state is located at Illinois. Mary O. Polk M.D. physically located at 301 N 8th St, Springfield IL, 62701-1041. NPI Number Mary O. Polk M.D. has the Individual type.

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1427158104 NPI number is provided on an as is basis without warranty of any kind. 1427158104 is maintained by the National Plan & Provider Enumeration System. The contents of Mary O. Polk M.D. are for informational purposes only.